Some intestinal disorders include:
With these disorders, children may need surgery to have a large portion of the intestine removed. Therefore, the child will only have a part of the small intestine remaining. This condition is called short bowel syndrome (SBS).
Often, children with this disorder have a difficult time maintaining growth and development because their remaining intestine may not function properly. This can lead to feeding intolerance, including excessive diarrhea and vomiting, poor growth, frequent infections and fatigue. Intravenous nutrition (TPN) is commonly needed to help maintain normal growth.
Intestinal rehabilitation is promoting adequate nutrition and hydration to help patients maintain normal growth without surgery.
The goals of intestinal rehabilitation are:
- Promote intestinal adaptation
- Enhance growth
- Minimize infectious complications
- Reduce the risk of TPN–associated liver disease
- Avoid transplantation
TPN is intravenous feeding that is usually administered through a central line, or PICC line. It provides patients with essential fluids and nutrients, typically consisting of high concentrations of proteins, dextrose (sugars) and components like electrolytes, minerals and trace elements.
A peripherally inserted central catheter (PICC line) provides intravenous access and is designed to be used for an extended period of time. The main purposes of this line when used for intestinal rehabilitation are to:
- Provide intravenous nutrition and fluids
- Easily draw blood labs to ensure your child is receiving proper nutritional support